Hospice Conditions of Participation Versus Conditions of Payment: Understanding the Difference
| Available : All Days | Presented By : Victoria Barron |
| Category : Healthcare | Event Type : Recorded Webinar |
For group or any booking support, contact: cs@educationsgrow.com + 1 (844) 240-7679 (US Toll Free)
Do you understand the differences between hospice conditions of participation and conditions of payment?
While the State Operations Manual Appendix M – Guidance to Surveyors: Hospice provides guidance to ensure hospices are compliant with the conditions of participation and related standards for survey readiness, hospices must also ensure documentation meets the benefit coverage requirements so that claims are paid and/or not recouped under medical review audits.
This session will address the difference between the hospice conditions of payment and conditions of participation and prepare your agency to be survey-ready and ADR/medical review audit-ready at all times. It will provide compliance tips, frequent denial reasons, and advice to attain and maintain survey readiness.
Both are crucial to the process of keeping your agency afloat and compliant. Attend this interesting session to learn how to differentiate these intertwining processes to keep your agency moving and survey/medical audit ready.
This informative session will benefit hospice clinical managers, QAPI managers, hospice medical directors, and direct-care hospice clinicians.
Victoria Barron is a registered nurse who joined Healthcare Provider Solutions, Inc. (HPS) in December 2021 as a clinical consultant. As part of the HPS clinical consulting team, Victoria provides support and solutions nationally to help home health and hospice agencies achieve regulatory compliance.
With more than 40 years of nursing and healthcare experience, the majority of Victoria’s career has been in the home services arena, including home health, hospice, home care, and home infusion, where she has served in various roles. In-home health and hospice, Victoria has served as agency administrator, interim administrator, clinical director, surveyor, mock surveyor, QAPI team member, and consultant. In private duty, she has served as agency administrator, and in-home infusion, as marketing director and infusion registered nurse. Victoria is a licensed multistate registered nurse and is ACHC- and CHAP-certified as a hospice and home health consultant.
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Melinda A. Gaboury and D. Mark Cannon, CPA, founded Healthcare Provider Solutions, Inc. in April 2001 to provide products and services to the home care and hospice industries. Their staff of seasoned professionals serve clients nationwide, including the US territories. Healthcare Provider Solutions’ core services include home care and hospice billing and collections, receivable collection projects, outsourced coding, clinical compliance chart reviews, operational reviews, and education through seminars and webinars
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